Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $233.65 / $733.12	Facility		$93.46	$233.65	$733.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $149.88	Professional		$75.59	$99.84	$149.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $366.31 / $672.70	Facility		$363.80	$366.31	$672.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $124.81	Professional		$30.55	$30.55	$124.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $314.68 / $653.58	Facility		$139.41	$314.68	$653.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $177.46 / $358.23	Professional		$93.45	$177.46	$358.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $149.76 / $206.81	Professional		$99.84	$149.76	$206.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $8,702.00 / $13,785.00	Facility		$99.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $99.84 / $99.84	Professional		$99.84	$99.84	$99.84
United Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Facility		$78.45	$78.45	$78.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $85.58 / $180.75	Professional		$59.19	$85.58	$180.75